| NPI | 1124689120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301507251) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2024-07-18 |