NPI | 1598259343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD216260) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-103371) |
207Q00000X Family Medicine (Licence: CA A175954) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-15 |
Last Update Date | 2024-01-31 |