| NPI | 1932565751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A183466) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 36323979) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2023-07-06 |