NPI | 1255919965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX V2049) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 79645) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-01 |
Last Update Date | 2025-07-14 |