| NPI | 1982281572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A23968) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2024-0131) |
| 207Q00000X Family Medicine (Licence: IL 125078828) | |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2025-09-15 |