| NPI | 1811421647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2024-01384) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A16909) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA D9788403) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2024-10-03 |