| NPI | 1972199925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 104475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2024-00192) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2025-09-04 |