NPI | 1336888627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 80041) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 293396) |
Enumeration Date | 2022-06-03 |
Last Update Date | 2025-08-13 |