| NPI | 1912266966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2019-0756) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 9756659-1205) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2019-0756) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2023-07-10 |