NPI | 1194383067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4351045563) |
Enumeration Date | 2019-06-05 |
Last Update Date | 2023-06-22 |