| NPI | 1508149154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 92636) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH022780) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2023-07-27 |