| NPI | 1467192021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61559306) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2025-09-23 |