| NPI | 1750637021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C186667) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 59886-20) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 4088) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2024-02-01 |