| NPI | 1316569981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 337760) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT220753) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-17 |
| Last Update Date | 2023-08-09 |