| NPI | 1811553795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074061) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2022-06-17 |