| NPI | 1710305453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 287855) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D83731) |
| 207Q00000X Family Medicine (Licence: LA 342643) | |
| 207Q00000X Family Medicine (Licence: DC MD045372) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2026-01-14 |