| NPI | 1003565185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A24057) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR0072968) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-09-01 |