| NPI | 1134617335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC DO52002) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207Q00000X Family Medicine (Licence: SC 52002) | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2020-08-13 |