| NPI | 1700465135 |
|---|---|
| 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: TX V2060) |
| Enumeration Date | 2021-04-04 |
| Last Update Date | 2024-08-21 |