| NPI | 1144960485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10090253) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX W1391) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2026-03-19 |