| NPI | 1790282010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WA MD61294673) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61294673) |
| 207Q00000X Family Medicine (Licence: CA A173296) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2025-06-18 |