| NPI | 1689161085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301513787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.142593) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2026-04-23 |