| NPI | 1902426315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 38120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 38120) |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2022-12-13 |