| NPI | 1770042020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 99466) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 99466) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 99466) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2025-05-15 |