| NPI | 1548794001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.016673) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL DO.1920) |
| 207Q00000X Family Medicine (Licence: TX S9664) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-11-16 |