NPI | 1316683147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NY P114005) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY P114005) |
Enumeration Date | 2022-05-05 |
Last Update Date | 2022-05-05 |