| NPI | 1518128180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2010-00398) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2010-00398) |
| 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: NC 2010-00398) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 149358) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2024-09-02 |