NPI | 1366133712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 23951) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 16541-I) |
Enumeration Date | 2023-05-17 |
Last Update Date | 2024-07-03 |