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 |