| NPI | 1598337503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.251396) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.251396) |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2022-06-03 |