NPI | 1538514799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25IA12112000) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 311831) |
390200000X Student in an Organized Health Care Education/Training Program | |
207P00000X Emergency Medicine (Licence: LA 311831) | |
Enumeration Date | 2016-04-25 |
Last Update Date | 2024-05-06 |