| NPI | 1043848880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2023-00512) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 7320) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 7320) | |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2024-05-13 |