| NPI | 1134546435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: HI DOS-2307) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: HI DOS-2307) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2023-07-27 |