| NPI | 1932831955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101029042) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NV SL1891) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151017577) | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2026-02-10 |