NPI | 1134313802 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208D00000X General Practice (Licence: TX R4780) |
208D00000X General Practice (Licence: FL OS19184) | |
208D00000X General Practice (Licence: AR E11235) | |
208D00000X General Practice (Licence: WA op60075821) | |
Enumeration Date | 2007-09-05 |
Last Update Date | 2024-07-10 |