| NPI | 1902105208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301115621) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301115621) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 205204) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 250204) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2023-10-24 |