| NPI | 1861281735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA ptl18465) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA ptl18465) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2026-07-03 |