NPI | 1184918039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 70859) |
Additional Taxonomies | 101Y00000X Counselor |
207R00000X Internal Medicine (Licence: AZ R78683) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-06-07 |
Last Update Date | 2024-06-13 |