| NPI | 1104521848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL89883) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-06-03 |