| NPI | 1790429504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-17751) |
| 208M00000X Hospitalist (Licence: ID M-17751) | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2025-07-28 |