| NPI | 1578887337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A12124) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR DO162164) |
| 207Q00000X Family Medicine (Licence: WA OP60370105) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2022-12-20 |