| NPI | 1811474133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 009007) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 83768) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2022-06-07 |