NPI | 1194421867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: KY PA3263) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
261QU0200X Clinic/Center, Urgent Care | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2023-02-03 |
Last Update Date | 2023-12-19 |