| NPI | 1164916342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 21582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 14771-I) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-07-26 |