| NPI | 1033670138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A178419) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 178419) |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA 178419) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: CA 178419) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2022-07-14 |