| NPI | 1902468994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC MD89522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 91005) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2023-10-14 |