| NPI | 1831501196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 0060745) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 0060745) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301105102) | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2019-05-07 |