| NPI | 1245868504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101028197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101028197) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-09-11 |