| NPI | 1902255458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A170118) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 51161) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 51661) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2022-04-21 |