| NPI | 1346409067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 600355594) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA ML20008798) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2021-12-17 |