| NPI | 1639879836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NV SL2104) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV Sl2104) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-08-08 |