NPI | 1689940710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D79791) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101265269) |
207Q00000X Family Medicine (Licence: DC MD046844) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-22 |
Last Update Date | 2019-04-25 |