| NPI | 1295227122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 33842) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI MD18014) |
| 207Q00000X Family Medicine (Licence: NH EL10676) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2025-01-28 |