| NPI | 1346927274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2023019616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A209552) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2026-06-07 |