| NPI | 1891484465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2026-02356) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL23-0517) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC MUTH-MFR8RK) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2026-04-28 |