| NPI | 1043692411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.153680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R6809) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10053616) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2026-05-21 |