| NPI | 1093403172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MO 2024048807) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV SL2111) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2025-07-03 |