| NPI | 1669104683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV DO3955) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SL1986) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2025-08-23 |