| NPI | 1083279301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 76025) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2025-08-26 |