NPI | 1801470638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT021670) |
Enumeration Date | 2021-05-07 |
Last Update Date | 2024-05-19 |