| NPI | 1528353083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A129838) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 248645) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2025-07-23 |