| NPI | 1841040128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO PENDING) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL.0010278) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-05-02 |