| NPI | 1245523349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 20178) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301101748) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2023-04-13 |