| NPI | 1609023571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2025-0173) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2008015952) |
| 208D00000X General Practice (Licence: VA 0101251346) | |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2025-06-25 |