NPI | 1831765429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 77742) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CT 77742) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-06-03 |
Last Update Date | 2025-07-02 |