| NPI | 1497282644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA11320000) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 85830) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2024-07-17 |