| NPI | 1619391760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VA VA0101259717) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101259717) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2018-06-13 |