| NPI | 1295041937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2015-00888) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA R-9583) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.058729) | |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2020-02-27 |