| NPI | 1407116189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 60546649) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0067419) |
| 207Q00000X Family Medicine (Licence: TX Q1291) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10043468) | |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2022-06-14 |