NPI | 1710481643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 313301) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 64038) |
Enumeration Date | 2018-03-23 |
Last Update Date | 2021-10-26 |