| NPI | 1851065726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 23678) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 35799-R) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 15954-I) | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2025-10-22 |