| NPI | 1053726356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101267543) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.36168) |
| 207Q00000X Family Medicine (Licence: AL MD.36168) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116027460) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-12-15 |