NPI | 1891156709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM DO2022-0087) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R5844) |
208D00000X General Practice (Licence: TX R5844) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-19 |
Last Update Date | 2023-06-23 |