| NPI | 1295363042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 5102) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 7321) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2023-08-16 |