| NPI | 1336935105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2025026559) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 2025026559) |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-11-11 |