| NPI | 1013350206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D88911) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 303175) |
| 207Q00000X Family Medicine (Licence: OH 35.132987) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2020-05-08 |