| NPI | 1720240492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A12544) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM A156710) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R1020) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2023-07-18 |