| NPI | 1174788582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD156377) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60661869) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2025-12-01 |