| NPI | 1144783887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: HI MD-22453) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA Pending) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2023-08-04 |