NPI | 1609516095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036175017) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA Pending) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-04-01 |
Last Update Date | 2025-06-25 |