| NPI | 1477381036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125087003) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2024025623) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2025-07-16 |