| NPI | 1134389497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 46812) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 53961) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2020-11-19 |