| NPI | 1043838162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 022847) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 34937R) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 022847) | |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2022-10-17 |