| NPI | 1821656232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD21366) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 3015003) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2026-05-05 |