NPI | 1205157179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 5152) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 5152) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-06-15 |
Last Update Date | 2023-03-23 |