| NPI | 1992372759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301514757) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 35414-R) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2025-11-17 |