NPI | 1679005169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R9290) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2019-10-28 |