| NPI | 1326468299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2021-03040) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60662882) |
| 207Q00000X Family Medicine (Licence: SC 83915) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2021-11-18 |