| NPI | 1255969960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 2025-01613) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-17847) |
| 208000000X Pediatrics (Licence: AR E-17847) | |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2025-06-27 |