| NPI | 1659014827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 78971) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 8472620) |
| 208D00000X General Practice (Licence: WI 8472620) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2025-02-21 |