| NPI | 1215429964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351048846) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD473000) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2022-06-27 |