| NPI | 1922418029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A167961) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D83706) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2020-03-08 |