| NPI | 1255915948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX V8033) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD19783) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI LP05229) | |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2025-04-23 |