| NPI | 1154812931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036163921) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301504271) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2023-05-08 |