| NPI | 1043890775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 35629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-4507) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2022-08-13 |