| NPI | 1831553494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101264064) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU M-2192) |
| 208D00000X General Practice (Licence: VA 0101264064) | |
| 208D00000X General Practice (Licence: VA 0101264063) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-06-01 |