| NPI | 1801565296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 61836) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 61836) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2026-07-27 |