| NPI | 1992157903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 72029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 62724) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 6153-851) | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2022-08-25 |