| NPI | 1235781576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116036268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 34770) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-06-26 |