| NPI | 1518537943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 72580) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ 1908R78997) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-08-26 |