NPI | 1467945584 |
---|---|
Former Name | JASMINE HEARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO2942) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL L.4747) |
Enumeration Date | 2018-06-13 |
Last Update Date | 2022-10-19 |