NPI | 1063093854 |
---|---|
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 ME165889) |
Enumeration Date | 2021-04-14 |
Last Update Date | 2024-01-02 |