| NPI | 1417261934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD.60298970) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-12207) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2025-09-16 |