| NPI | 1386347938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD229776) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2026-05-18 |