NPI | 1447817648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T2745) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: BP10068876) |
Enumeration Date | 2019-05-22 |
Last Update Date | 2024-09-19 |