| NPI | 1558851113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 3946) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 3946) | |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2025-06-09 |