| NPI | 1609512169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 06377) |
| Additional Taxonomies | 208D00000X General Practice (Licence: KY R6274) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2026-07-08 |