NPI | 1407343528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 1.079078-DO) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207Q00000X Family Medicine (Licence: AL DO.2488) | |
Enumeration Date | 2018-04-14 |
Last Update Date | 2024-09-24 |