NPI | 1346777869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101279690) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.154256) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL0006769) | |
Enumeration Date | 2017-05-15 |
Last Update Date | 2024-03-13 |