NPI | 1245649474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO218800) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO5384) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-08-13 |
Last Update Date | 2024-06-19 |