| NPI | 1366082687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101273171) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2025-04-04 |