| NPI | 1851824601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN41574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN41574) |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2025-06-26 |