| NPI | 1881204089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 16928-I) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL HSE30115) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2024-04-29 |