NPI | 1104306570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A174346) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 847) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-08-15 |
Last Update Date | 2022-10-20 |