| NPI | 1740971167 |
|---|---|
| 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: TX W0108) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2025-10-07 |