| NPI | 1053726695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA 20A16741) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT015731) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO DR.0059296) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2024-05-29 |