NPI | 1003252354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD202180) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60646803) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-05-14 |
Last Update Date | 2021-01-28 |