| NPI | 1811381015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60776152) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID M-15948) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2021-08-09 |