| NPI | 1588127625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2023010158) |
| 208000000X Pediatrics (Licence: MO 2023010158) | |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2023-11-22 |