NPI | 1285047084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 183943) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA PTL3173) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-09 |
Last Update Date | 2023-06-12 |