| NPI | 1730535139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 79012) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 82793) |
| 207R00000X Internal Medicine (Licence: MA 284646) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2024-07-25 |