| NPI | 1154943231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 1.076798) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 261904) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 261904) | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2025-04-17 |