| NPI | 1528625050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04547) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2022-06-21 |