| NPI | 1811429640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI 19985) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A167580) |
| 207Q00000X Family Medicine (Licence: AK 160471) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-11-03 |