| NPI | 1679003503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: CA A170757) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070762) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2025-08-19 |