| NPI | 1841936283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 85816-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125080778) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2025-05-19 |