| NPI | 1699514018 |
|---|---|
| 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: NY 60-P128296-01) |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2026-05-09 |