| NPI | 1346777869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101279690) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.154256) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL0006769) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2024-03-13 |