NPI | 1528509734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME149351) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 009544) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-20 |
Last Update Date | 2022-07-21 |