NPI | 1063072064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101026886) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151013676) |
Enumeration Date | 2019-06-20 |
Last Update Date | 2022-07-12 |