| NPI | 1558004713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10080554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX W1900) |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2026-06-12 |