| NPI | 1710730254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 783656) |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2025-06-02 |