NPI | 1053726695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA 20A16741) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT015731) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CO DR.0059296) | |
Enumeration Date | 2014-06-23 |
Last Update Date | 2024-05-29 |