NPI | 1003222050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A169755) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60969215) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-07-09 |
Last Update Date | 2020-09-04 |