| NPI | 1740806199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 36-274R) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 36274-R) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2024-04-18 |