| NPI | 1992016802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI 5891) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2013-07-12 |