| NPI | 1255770814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 10226A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60662517) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2022-07-21 |