| NPI | 1669001350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 81834-21) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: MT MED-RES-LIC-113352) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2025-06-22 |