| NPI | 1437660958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 100749-851) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MO 2017013913) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2024-05-29 |