NPI | 1043747298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME142920) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN24354) |
Enumeration Date | 2017-05-18 |
Last Update Date | 2024-08-29 |