| NPI | 1326542440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD600005848) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207Q00000X Family Medicine (Licence: WA ML60850747) | |
| 207Q00000X Family Medicine (Licence: MD D0091098) | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2026-06-16 |