NPI | 1013517028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301508527) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351047311) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-10-28 |
Last Update Date | 2023-10-18 |