| NPI | 1275845125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 271952) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 55488) |
| 207Q00000X Family Medicine (Licence: CA C155801) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2022-04-26 |