NPI | 1700225950 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q7345) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX Q7345) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-06-20 |
Last Update Date | 2022-07-21 |