| NPI | 1730765504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 1005310-1204) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-03-07 |