| NPI | 1205581592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL L.6211R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020027754) |
| 207Q00000X Family Medicine (Licence: MO 2020027754) | |
| 207R00000X Internal Medicine (Licence: AZ R79160) | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2024-06-17 |