| NPI | 1376228437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.257357) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT228409) |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2024-06-18 |