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 |