| NPI | 1073725297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 48698) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA C147W9) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125-050195) | |
| 207Q00000X Family Medicine (Licence: OR MD 28615) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2021-08-17 |