| NPI | 1508507815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A191168) |
| Enumeration Date | 2022-04-02 |
| Last Update Date | 2026-07-07 |