NPI | 1093445991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.148834) |
Additional Taxonomies | 208D00000X General Practice (Licence: OH 35.148834) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-06-14 |
Last Update Date | 2023-10-03 |