| NPI | 1851653620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP60641519) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q4157) |
| 207V00000X Obstetrics & Gynecology (Licence: WA OP60641519) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2018-03-17 |