NPI | 1255865408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A17079) |
Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology (Licence: OH 58.031614) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-14 |
Last Update Date | 2024-06-13 |