| NPI | 1518421932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 23938) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 16321-I) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2024-11-23 |