| NPI | 1861846800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TN 60391) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 86562) |
| 207Q00000X Family Medicine (Licence: TN 60391) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2021-10-27 |