NPI | 1790282010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WA MD61294673) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A173296) |
207Q00000X Family Medicine (Licence: WA MD61294673) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-12 |
Last Update Date | 2024-09-18 |