| NPI | 1346684412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60803242) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR PG169062) |
| 207Q00000X Family Medicine (Licence: OR MD184672) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2022-02-04 |