| NPI | 1487279295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME158232) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 31071) |
| 208D00000X General Practice (Licence: FL 158232) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 31071) | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2024-08-08 |