| NPI | 1447224068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2025-0267) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A54652) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2025-07-01 |