| NPI | 1811379266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A144325) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 52007) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207Q00000X Family Medicine (Licence: TN 58457) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2023-08-30 |