| NPI | 1952939696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 77255) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 77255) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0008736) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-11-15 |