NPI | 1295000545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME134333) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 304118) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-20 |
Last Update Date | 2018-06-08 |