| NPI | 1972244820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1022297) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA Pending) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-04-24 |