| NPI | 1821523630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2019-00770) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 226981) |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2022-10-21 |