| NPI | 1265178958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U7302) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-10-30 |