NPI | 1134680325 |
---|---|
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: NC 2021-02324) |
Enumeration Date | 2019-03-29 |
Last Update Date | 2021-08-22 |