| NPI | 1760829618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A21271) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT015358) |
| 207Q00000X Family Medicine (Licence: PA OS018092) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2024-05-16 |