NPI | 1689201576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0101917) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A181928) |
207Q00000X Family Medicine (Licence: IL 036.164292) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-23 |
Last Update Date | 2024-10-29 |