NPI | 1447983275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 23419) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 16199I) |
Enumeration Date | 2022-07-08 |
Last Update Date | 2023-07-19 |