| NPI | 1184870271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D86104) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2011-01176) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10030920) | |
| 207Q00000X Family Medicine (Licence: VA 0101252713) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2019-04-30 |