| NPI | 1902102395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q1863) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 36258) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2023-03-07 |