| NPI | 1366094278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 280719) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 38651) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2026-05-26 |