| NPI | 1821224635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 19328) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2011-00129) |
| 207Q00000X Family Medicine (Licence: AZ 56829) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2020-01-03 |