NPI | 1386387843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA12768100) |
207Q00000X Family Medicine (Licence: CA A198285) | |
Enumeration Date | 2022-04-13 |
Last Update Date | 2025-07-03 |