| NPI | 1831629435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H89625) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA ot017924) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |