| NPI | 1508612730 |
|---|---|
| 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: WI 100714-851) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-06-23 |