| NPI | 1770136871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 22841) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 35703) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 34333) | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2022-08-02 |