| NPI | 1922569854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA 20A22866) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102206277) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 171000000X Military Health Care Provider | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-07-01 |