| NPI | 1942576194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60489502) |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2016-01-20 |