| NPI | 1912528092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MTL500001469) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116035594) |
| 208000000X Pediatrics (Licence: VA 0116035594) | |
| 208000000X Pediatrics (Licence: DC MTL500001469) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2023-04-10 |