NPI | 1356873301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A20440) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 306726) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-29 |
Last Update Date | 2023-05-07 |