NPI | 1275854192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208D00000X General Practice (Licence: MN 72345) |
Enumeration Date | 2010-06-15 |
Last Update Date | 2022-12-08 |