| NPI | 1346937497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 81823-21) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI PAR-0000088085) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2025-03-19 |