| NPI | 1740864537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MO 2022047675) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MO 2022047675) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2024-07-09 |