NPI | 1659013688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301511924) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351049758) |
208000000X Pediatrics (Licence: MI 4351049758) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-04-11 |
Last Update Date | 2024-06-13 |