| NPI | 1265126981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 70141360) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2023019469) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2026-08-25 |