NPI | 1649764390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 275999) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 275999) |
Enumeration Date | 2018-06-17 |
Last Update Date | 2023-03-07 |