| NPI | 1265276554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0010849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024023893) |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2025-07-21 |