| NPI | 1194303966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A23126) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 21-1172) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2024-07-30 |