| NPI | 1336633197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2024016624) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 52704) |
| 207Q00000X Family Medicine (Licence: SC 52704) | |
| 207Q00000X Family Medicine (Licence: MO 2024016624) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2024-09-24 |