| NPI | 1588247522 |
|---|---|
| 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: NY 1234567) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-06-15 |