| NPI | 1366188799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A204142) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC SMAR-5EEM2Z) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL22-0520) | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2025-08-05 |