| NPI | 1902388184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WV 1532) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 58734) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2024-01-04 |