| NPI | 1215421128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T4096) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL MD.38786) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL L.4776) | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2021-12-28 |