| NPI | 1326532714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO2730) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS15318) |
| 207Q00000X Family Medicine (Licence: NY 302662-01) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL OS15318) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-04-01 |