| NPI | 1992209563 |
|---|---|
| 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: LA 326273) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2024-04-23 |