| NPI | 1083479117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: SC 29512) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 251597) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-11-19 |