| NPI | 1780115014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61062332) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID 3861761) |
| 207Q00000X Family Medicine (Licence: NM MD2019-0838) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-08-28 |