| NPI | 1376006965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA RTL0116040716) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME146984) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2026-06-30 |