| NPI | 1386999167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A139561) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 139561) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2023-10-05 |