| NPI | 1790313732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2023-0388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2023-0388) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2020-0477) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-03-21 |