| NPI | 1497135073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101265160) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD492928) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2025-12-08 |