| NPI | 1679139968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T8374) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2024-04-22 |