| NPI | 1689012726 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 268020) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 268020) | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-11 | 
| Last Update Date | 2019-07-17 |