NPI | 1447825641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61460298) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA ML61165918) |
Enumeration Date | 2021-05-21 |
Last Update Date | 2024-09-17 |