| NPI | 1053790923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD189896) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR0057490) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL0005637) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2019-03-20 |