| NPI | 1265637870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA MD203638) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60079331) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116019549) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2023-12-27 |