| NPI | 1609223247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 320155) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2023-06-10 |