| NPI | 1588044267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125066280) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A16392) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2021-02-05 |