| NPI | 1891484812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NV DO3952) |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2025-11-17 |