| NPI | 1164165932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2022025170) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2025026522) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2025-08-04 |