| NPI | 1760877344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: ND 16710) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA DO-05366) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG172349) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2022-04-19 |