| NPI | 1851895338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 317814) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2021-00479) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2022-10-20 |