| NPI | 1396266656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI LP06517) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020038090) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10059585) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2025-06-18 |