NPI | 1306189808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX R4432) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R4432) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-03 |
Last Update Date | 2021-04-09 |