NPI | 1033418207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TX P8482) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P8482) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-03-27 |
Last Update Date | 2021-04-21 |