| NPI | 1417442971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.161225) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.071761) |
| 207Q00000X Family Medicine (Licence: IL 125071761) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2022-10-24 |