| NPI | 1659807444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61502180) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A16880) |
| 207Q00000X Family Medicine (Licence: MA 281617) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-09-23 |