NPI | 1376168880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN42492) |
Additional Taxonomies | 208D00000X General Practice (Licence: IN 01094880A) |
Enumeration Date | 2020-06-10 |
Last Update Date | 2025-09-02 |