NPI | 1710574900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 39521) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 39521) |
Enumeration Date | 2020-12-22 |
Last Update Date | 2022-11-14 |