| NPI | 1811638380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4351049689) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 1811638380) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2025-02-24 |