NPI | 1164047114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PTL3932) |
Enumeration Date | 2020-06-15 |
Last Update Date | 2022-01-04 |