| NPI | 1811218290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R4405) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 27955) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-19 |
| Last Update Date | 2018-09-25 |