| NPI | 1881981553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A13901) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101022352) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2021-12-15 |