| NPI | 1992329221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD210012001) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT020307) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2024-09-05 |