NPI | 1225533375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE c2-0023890) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS020598) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-29 |
Last Update Date | 2021-08-06 |