| NPI | 1972915411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO2761) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS14951) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2018-06-07 |