| NPI | 1932594348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 60145) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY R3922) |
| 207Q00000X Family Medicine (Licence: IN 01080584A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2025-05-14 |