| NPI | 1013658475 |
|---|---|
| Former Name | EMMA RACHAEL NEAHUSAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 34.016691) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2024-12-06 |