| NPI | 1558927962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL OS18985) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10068780) |
| 207Q00000X Family Medicine (Licence: FL OS18985) | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2024-01-24 |