| NPI | 1902546781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2022024455) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2022024455) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KS 94-11224) | |
| 208000000X Pediatrics (Licence: MO 2022024455) | |
| 208000000X Pediatrics (Licence: KS 94-11224) | |
| 207R00000X Internal Medicine (Licence: KS 94-11224) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-09-03 |