NPI | 1104408004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX V3053) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V3053) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-21 |
Last Update Date | 2025-01-22 |