| NPI | 1376076232 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2024019056) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 66676) | 
| 207P00000X Emergency Medicine (Licence: MO 2024019056) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MO 2024019056) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: TN 66676) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2024019056) | |
| Enumeration Date | 2017-04-07 | 
| Last Update Date | 2024-08-30 |