| NPI | 1447886650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AR 5043132) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 5043132) |
| 208D00000X General Practice (Licence: PR 5043132) | |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2025-04-30 |