| NPI | 1720425259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60911502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.158280) |
| 207R00000X Internal Medicine (Licence: MA 268025) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 255822) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2021-11-29 |