| NPI | 1871176420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA A193909) |
| Enumeration Date | 2021-05-02 |
| Last Update Date | 2024-05-21 |