| NPI | 1437773090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A20937) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PTL1342) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 20A20937) | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2024-02-12 |