| NPI | 1780073742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 75852) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS 2014-0989) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2023-10-23 |