| NPI | 1184232258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE DR-0025635) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT220007) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2023-04-05 |