NPI | 1699137265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60881198) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 143567) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-23 |
Last Update Date | 2021-10-08 |