| NPI | 1457046716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY TP975) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY R7236) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2026-05-05 |