| NPI | 1508486648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 17327) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MD 2355572) |
| 183700000X Pharmacy Technician (Licence: MD T29369) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2025-07-02 |