NPI | 1689107732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61088204) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.245069) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2020-11-10 |