| NPI | 1972130847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AK 236757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO215226) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-05-11 |