| NPI | 1649848664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL22-1040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021021810) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2022-06-23 |