| NPI | 1831727247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL23-0230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC ll84578) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2023-05-08 |