| NPI | 1871157123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 92573) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.159231) |
| 207R00000X Internal Medicine (Licence: IL 125.075159) | |
| 208D00000X General Practice (Licence: IL 036.159231) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2023-04-11 |