| NPI | 1588415459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125084136) |
| Additional Taxonomies | 2085R0001X (Licence: IL 125.084136) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2025-05-22 |