| NPI | 1710416250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-01296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN24245) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN24245) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2021-09-22 |