| NPI | 1063044071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 16399I) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 16399I) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2023-02-01 |