NPI | 1639558794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 158820) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 83740) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-22 |
Last Update Date | 2025-07-31 |