| NPI | 1235517483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102204728) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102204728) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2022-08-11 |