| NPI | 1710534797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: PR 23144) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 23144) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 23144) | |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2026-06-10 |