NPI | 1598226417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 73749) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101274622) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-26 |
Last Update Date | 2025-08-11 |