| NPI | 1528556362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 29082) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: SC 52618) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2023-12-05 |