| NPI | 1689377715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL0009540) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0073729) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-08-12 |