| NPI | 1043705841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 91167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 33315) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-07-10 |