| NPI | 1780099911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 66784-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301105985) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301105985) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2022-07-21 |