| NPI | 1134313802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AL DO.3825) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX R4780) |
| 208D00000X General Practice (Licence: FL OS19184) | |
| 208D00000X General Practice (Licence: AR E11235) | |
| 208D00000X General Practice (Licence: WA op60075821) | |
| 208D00000X General Practice (Licence: CA 20A18151) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2024-10-20 |