| NPI | 1710419155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301511288) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301511288) |
| 208000000X Pediatrics (Licence: MI 4301511288) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2024-04-17 |