NPI | 1629459672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301107168) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301107168) |
Enumeration Date | 2015-06-16 |
Last Update Date | 2015-07-08 |