NPI | 1386999167 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A139561) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 139561) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-07-18 |
Last Update Date | 2023-10-05 |