| NPI | 1508276924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2023010416) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 04-48005) |
| 207Q00000X Family Medicine (Licence: TX R3420) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2023-11-14 |