| NPI | 1043479116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 277278) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D71971) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2020-10-23 |