| NPI | 1255566220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 4271941) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD162440) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2025-09-17 |