| NPI | 1477908473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD483733) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD187450) |
| 207Q00000X Family Medicine (Licence: AK 205905) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2024-04-19 |