| NPI | 1265889729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101265448) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116029138) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-15 |
| Last Update Date | 2018-11-14 |