| 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 |