NPI | 1144783887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: HI MD-22453) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA Pending) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2023-08-04 |