| NPI | 1902149073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2017-0293) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM rs2014-0556) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2017-08-03 |