| NPI | 1740779479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101026749) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101026749) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151011277) | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2025-08-18 |