| NPI | 1295300614 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2025-0026)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0100362)  | 
| Enumeration Date | 2021-05-27 | 
| Last Update Date | 2025-06-26 |