NPI | 1093403172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MO 2024048807) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV SL2111) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2023-04-27 |
Last Update Date | 2025-07-03 |