NPI | 1447480116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 57409-20) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 53002) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-07-16 |
Last Update Date | 2021-11-04 |