| NPI | 1477177277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 23989) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT220361) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2023-11-01 |