| NPI | 1033401302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 081530) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2014-01426) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2021-01-21 |