| NPI | 1114129061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A.16440) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N3139) |
| 207Q00000X Family Medicine (Licence: CO DR.0051842) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2022-03-23 |