| NPI | 1114448263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: PR 021100) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2023-04-11 |