| NPI | 1134788144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: NY 331738) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2025-05-23 |