| NPI | 1245416759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0055815) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD441511) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101242875) | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2024-02-06 |