| NPI | 1235590340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 165800) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 30359) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2022-09-28 |