NPI | 1306257001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PA MD456019) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD456019) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-05-15 |
Last Update Date | 2020-02-01 |