| NPI | 1205351905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR ACN1701) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 16877-I) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2025-02-27 |