| NPI | 1437803582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MDCE.ML.61488954) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 16001-I) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2023-10-18 |