NPI | 1437538030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN DO3493) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS14679) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-28 |
Last Update Date | 2022-03-23 |