| NPI | 1144808791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61552358) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA OL61172197) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2024-06-05 |