| NPI | 1477182459 |
|---|---|
| Former Name | EMILY ALEXANDRA SMALLWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036166532) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2023-08-17 |