NPI | 1679152896 |
---|---|
Other Name | MARY ANN NYC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A193007) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-04-05 |
Last Update Date | 2024-07-01 |