| NPI | 1972200772 |
|---|---|
| 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: MN 77591) |
| 207R00000X Internal Medicine (Licence: MN 33488) | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2026-07-26 |