| NPI | 1861927485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD213731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A157099) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-02-15 |