| NPI | 1740847664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 21367) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 21367) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 21367) | |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2024-08-06 |