| NPI | 1053974451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 251633) |
| 207R00000X Internal Medicine (Licence: VA 0101275480) | |
| Enumeration Date | 2019-04-21 |
| Last Update Date | 2024-06-12 |