| NPI | 1902285141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R9205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61366894) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207Q00000X Family Medicine (Licence: PA MD465771) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2025-08-26 |