| NPI | 1891143327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD194144) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OR MD194144) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG189357) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2021-07-27 |