| NPI | 1922758242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.152645) |
| 207R00000X Internal Medicine (Licence: KY 60341) | |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2025-07-17 |