| NPI | 1174104061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN38650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 294044) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2023-07-27 |