| NPI | 1801524145 |
|---|---|
| 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: MO 2021042471) |
| 207R00000X Internal Medicine (Licence: IL COVID-IMG-1856) | |
| Enumeration Date | 2022-08-14 |
| Last Update Date | 2023-03-27 |