| NPI | 1194301911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH 4588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 0072545) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2025-07-22 |