| NPI | 1124580717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD216504) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0068604) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0007525) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2024-09-16 |