| NPI | 1356905129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0009146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T0324) |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2022-07-11 |