| NPI | 1285836783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60538604) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A107885) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2021-04-12 |