| NPI | 1710301189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 61349) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 281620) |
| 207R00000X Internal Medicine (Licence: MA 267210) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2022-03-31 |