| NPI | 1760122675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL25-0031) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL87558) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2025-07-08 |