NPI | 1174109631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: GA 16893) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-03-23 |
Last Update Date | 2025-06-27 |