| NPI | 1134377633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A122406) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 54416) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125052217) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2020-12-11 |