| NPI | 1700632163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208D00000X General Practice (Licence: OH 35.155464) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2026-05-01 |