| NPI | 1225511611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125080158) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 202C00000X Independent Medical Examiner (Licence: FL TRN36059) | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2024-06-02 |