NPI | 1649700337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-15764) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R76899) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-06-14 |
Last Update Date | 2023-08-25 |