NPI | 1619330982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 61189) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A151463) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-03 |
Last Update Date | 2022-01-10 |