| NPI | 1710337886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036171862) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301500804) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301110176) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2024-10-01 |