NPI | 1073033999 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PR 21787) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 21787) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-06-21 |
Last Update Date | 2021-08-31 |