NPI | 1306575386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME175295) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME175295) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-06-06 |
Last Update Date | 2025-08-25 |