| NPI | 1447481213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T3609) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101253694) |
| 207Q00000X Family Medicine (Licence: TX 47283) | |
| 207Q00000X Family Medicine (Licence: FL ME122692) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125056535) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2023-03-16 |