| NPI | 1093166233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0543253) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-10917) |
| 207Q00000X Family Medicine (Licence: IA DO-05200) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2021-06-04 |