| NPI | 1750558870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101249648) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: VA 0101249648) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2023-08-09 |