| NPI | 1700771961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA R-13355) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA R-13355) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IA R-13355) | |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-09-17 |