NPI | 1043779879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ME165893) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2023-12-09 |