| NPI | 1518581164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61324672) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OL61065418) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA OL61065418) | |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2022-07-25 |