| NPI | 1861987091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2025-0389) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2025-0389) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2025-0389) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NM MD2025-0389) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2025-07-22 |