| NPI | 1518653369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL23-0923) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC RTL23) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-07-18 |