| NPI | 1831534874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NM A-2388-20) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO 3532) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2020-08-03 |