| NPI | 1891016390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 295689) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301102921) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207Q00000X Family Medicine (Licence: CA A131126) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2021-06-02 |