| NPI | 1669904371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: WI 3993-320) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT212973) |
| 207Q00000X Family Medicine (Licence: IL 036.151807) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2024-10-24 |