| NPI | 1992371603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA 20A20973) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-06-20 |