| NPI | 1487289864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351053789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.078033) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2025-06-21 |