NPI | 1073253241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA 3015469) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2025-05-09 |