NPI | 1255566220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 4271941) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD162440) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-05-20 |
Last Update Date | 2025-09-17 |