| NPI | 1548618291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301504497) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110476) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2023-06-16 |