| NPI | 1255813986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX U5268) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX U5268) | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2026-03-10 |