NPI | 1417436114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MN 6014) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 6014) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2020-08-07 |