| NPI | 1407268139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 309541) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 148993) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT206006) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2023-01-19 |