| NPI | 1891444337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM DO2025-0090) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 113353) |
| 207R00000X Internal Medicine (Licence: MT MED-RES-LIC-113353) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2025-07-04 |