NPI | 1619435989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101271851) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101271851) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-06 |
Last Update Date | 2022-07-15 |