NPI | 1215513692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2023035476) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: MO 2023035476) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-24 |
Last Update Date | 2025-08-06 |