| NPI | 1336775220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MN 70346) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MN 70346) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-11-04 |