| NPI | 1710540042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 331244) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 695430) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2022-08-22 |