| NPI | 1821404682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME156344) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 56157) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2023-08-10 |