| NPI | 1225491160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD20221408) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207Q00000X Family Medicine (Licence: AK 151459) | |
| 207Q00000X Family Medicine (Licence: WA MD60852613) | |
| 207Q00000X Family Medicine (Licence: CO DR.0074500) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2025-02-19 |