| NPI | 1699265082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 67420) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2023-11-17 |