NPI | 1528640810 |
---|---|
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: TX U0310) |
Enumeration Date | 2021-04-26 |
Last Update Date | 2023-03-20 |