| NPI | 1295571743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 37586-R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 37093-R) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2025-07-13 |