| NPI | 1083141683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A184322) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 89163) |
| 207Q00000X Family Medicine (Licence: MT 125530) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2024-09-12 |