| NPI | 1851776686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A16714) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 11018339A) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2021-11-18 |