| NPI | 1386149623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 008979) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A23271) |
| 207Q00000X Family Medicine (Licence: MO 2020042950) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2025-11-03 |