| NPI | 1467984856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 067910-RES) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 067910-RES) |
| 208000000X Pediatrics (Licence: CT 067910-RES) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-04-28 |