NPI | 1508494337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO224807) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A21244) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-28 |
Last Update Date | 2025-10-09 |