| NPI | 1417536038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME179049) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI LP05388) |
| 207Q00000X Family Medicine (Licence: MI 4301511418) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2026-08-10 |