| NPI | 1982090445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A155861) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM RS2015-0510) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2021-12-17 |