| NPI | 1538335146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 52548) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301100106) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2014-01-28 |