| NPI | 1588314090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 8081604) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP70010935) |
| 207Q00000X Family Medicine (Licence: PA OS025139) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-27 |
| Last Update Date | 2026-07-23 |