| NPI | 1437441706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A141473) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101252520) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2024-07-26 |