| NPI | 1154983351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351052122) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125075199) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2024-06-19 |