| NPI | 1003071804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0060131) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI DOS-1720) |
| 207Q00000X Family Medicine (Licence: WY 8365A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2018-08-22 |