| NPI | 1851023998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NV SL1884) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV DO3757) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2024-10-14 |