| NPI | 1225898398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10089351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY P127561) |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-05-20 |