| NPI | 1962963066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073947) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2022-06-14 |