| NPI | 1891372579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: PA OS023428) |
| Enumeration Date | 2021-03-27 |
| Last Update Date | 2024-06-14 |