| NPI | 1982281572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2024-0131) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125078828) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2024-11-18 |