| NPI | 1750878625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2022-0282) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM 25MA11199700) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-11-14 |