| NPI | 1295266294 |
|---|---|
| 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: KY R4409) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2020-03-26 |