| NPI | 1336849439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102208709) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-07-03 |