| NPI | 1598253395 |
|---|---|
| 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: TN 65209) |
| 207R00000X Internal Medicine (Licence: CO DR.0070851) | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2024-05-05 |