| NPI | 1013478700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.017499) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT019001) |
| 207Q00000X Family Medicine (Licence: IN 02006645A) | |
| 207Q00000X Family Medicine (Licence: IN 02006654A) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-11-15 |