| NPI | 1326736703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 346368) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101283962) |
| 207P00000X Emergency Medicine (Licence: LA 346368) | |
| 207Q00000X Family Medicine (Licence: VA 0101283962) | |
| 208000000X Pediatrics (Licence: VA 0101283962) | |
| 208000000X Pediatrics (Licence: LA 346368) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101283962) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 346368) | |
| 208D00000X General Practice (Licence: VA 0101283962) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2025-06-10 |