| NPI | 1134313802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| 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) | |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2024-07-10 |