| NPI | 1801157284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD173566) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61348933) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2026-01-28 |