| NPI | 1588318414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 23017) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 16000i) | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2023-06-30 |