| NPI | 1609575588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0009520) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0009520) |
| 207R00000X Internal Medicine (Licence: CO DR.0076691) | |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2026-03-31 |