| NPI | 1659664829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 53114) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 46376) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-22 |
| Last Update Date | 2023-02-15 |