NPI | 1225616972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY R6043) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY R6043) |
207Q00000X Family Medicine (Licence: KY R6043) | |
Enumeration Date | 2021-04-01 |
Last Update Date | 2024-04-02 |