| NPI | 1134247331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102202265) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102202265) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-06-01 |