NPI | 1699941930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036127596) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207Q00000X Family Medicine (Licence: VA 0101252484) | |
Enumeration Date | 2008-05-06 |
Last Update Date | 2019-12-26 |