| NPI | 1184118978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME158472) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 125073123) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2022-12-27 |