| NPI | 1851915755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61318996) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML61067671) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA ML61067671) | |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2023-09-28 |