| NPI | 1114272473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2021-02927) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OL60473812) |
| 207Q00000X Family Medicine (Licence: CA 20A16409) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA OP60572215) | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2024-04-26 |