| NPI | 1447662077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 04270) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 36691) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2023-09-06 |