| NPI | 1639691272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VT 042.0017550) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301508986) | |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2024-10-09 |