NPI | 1225498934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101262977) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101262977) |
Enumeration Date | 2016-02-24 |
Last Update Date | 2023-06-22 |