| NPI | 1861159717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME EC231116) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME EC231116) |
| 208D00000X General Practice (Licence: NY P113133) | |
| Enumeration Date | 2021-11-25 |
| Last Update Date | 2024-01-11 |