| NPI | 1295186740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 89489) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101263269) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2023-07-19 |