| NPI | 1891286720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 309243) |
| 207R00000X Internal Medicine (Licence: RI LP04238) | |
| Enumeration Date | 2018-05-26 |
| Last Update Date | 2025-09-09 |