| NPI | 1952981177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 36160-R) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-03-19 |