NPI | 1407353477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 61145721) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207Q00000X Family Medicine (Licence: OR MD206121) | |
Enumeration Date | 2018-04-06 |
Last Update Date | 2022-05-16 |