| NPI | 1841546793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: KY 51370) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 51370) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: KY 51370) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2019-08-09 |