NPI | 1659699031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MN 61339) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 275317) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-05-11 |
Last Update Date | 2024-08-06 |