| NPI | 1568857860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10074293) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101261057) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2021-04-21 |