| NPI | 1346683836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101259503) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: not yet obtained) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2016-07-25 |