NPI | 1659014173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX U7482) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX U7482) |
Enumeration Date | 2022-04-14 |
Last Update Date | 2023-10-31 |