| NPI | 1326674532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 022764) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15341-I) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2023-06-17 |