| NPI | 1003222050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A169755) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60969215) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2026-04-10 |