| NPI | 1750011292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0075825) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125079914) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2025-07-25 |