| NPI | 1184368359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 341487) |
| 207R00000X Internal Medicine (Licence: DE C1-0029379) | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2026-05-24 |