| NPI | 1497106231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 61446225) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 156711) |
| 207Q00000X Family Medicine (Licence: HI MD-21886) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2025-06-09 |