| NPI | 1811481997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 042.0016122) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: VT 042.0016122) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT216002) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2022-08-08 |