| NPI | 1164109021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116038876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 60-P122564-01) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-12-18 |