| NPI | 1225564867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D94898) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 271780) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2022-09-06 |