| NPI | 1962709568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A138589) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA D4207064) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2016-01-28 |