NPI | 1598176877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.138230) |
Additional Taxonomies | 208D00000X General Practice (Licence: OH 35.138230) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-05-08 |
Last Update Date | 2021-03-16 |