| NPI | 1407421803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI LP05554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 289627) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2022-06-26 |