| NPI | 1073075537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301511716) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2025-06-19 |