| NPI | 1255724761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: VA 0101260865) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101260865) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-08 |
| Last Update Date | 2023-12-15 |