NPI | 1124413596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R8448) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-10387) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-02 |
Last Update Date | 2018-09-04 |