NPI | 1124589858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.158403) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125-074695) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-26 |
Last Update Date | 2022-10-24 |