| NPI | 1841827110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208D00000X General Practice (Licence: LA 332944) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2022-08-31 |