NPI | 1700288453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 22490) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 22490) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 22490) | |
Enumeration Date | 2014-09-24 |
Last Update Date | 2025-07-17 |