| NPI | 1770902835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS15824) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OR PG167712) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WV 3093) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-08-31 |