NPI | 1508569690 |
---|---|
Former Name | SHAYLA MCCALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101286886) |
Enumeration Date | 2023-03-27 |
Last Update Date | 2025-10-08 |