| NPI | 1770333601 |
|---|---|
| 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: GU TLL-2026-012) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2026-07-22 |