| NPI | 1316568918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101275041) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101275041) |
| 2083A0100X Preventive Medicine Aerospace Medicine (Licence: VA 0101275041) | |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2024-04-25 |