| NPI | 1770022279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX T4680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS15728) |
| 207R00000X Internal Medicine (Licence: TX T4680) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2023-09-19 |