| NPI | 1801425814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 77218-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 8408851) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2022-07-29 |