| NPI | 1821545708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 22218) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 6070555) |
| 208D00000X General Practice (Licence: PR 022218) | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2022-07-18 |