| NPI | 1578818464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2024-0157) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T4046) |
| 207R00000X Internal Medicine (Licence: NM MD2024-0157) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2024-06-04 |