NPI | 1548794001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.016673) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL DO.1920) |
207Q00000X Family Medicine (Licence: TX S9664) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-11 |
Last Update Date | 2023-11-16 |