NPI | 1518414440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 22995) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 4880940) |
Enumeration Date | 2016-09-08 |
Last Update Date | 2023-03-18 |