| NPI | 1538732375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 024094) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 15875-I) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-09-19 |