NPI | 1487130761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL OS16872) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO5765) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-07-19 |
Last Update Date | 2020-07-30 |