| NPI | 1821529983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 60764) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: UT 198704074) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2022-01-10 |