| NPI | 1437315827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: HI 21975) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A126787) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A126787) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2021-08-20 |