| NPI | 1336764810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP70006040) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OL61298940) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2025-08-07 |