NPI | 1023336526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD181636) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2013-01312) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 164529) | |
Enumeration Date | 2010-05-07 |
Last Update Date | 2017-07-05 |