| NPI | 1922426055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61022155) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: WA MD61022155) | |
| 207R00000X Internal Medicine (Licence: CA 148408) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD61022155) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A148408) | |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2020-10-14 |