NPI | 1821654740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 23175) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 23175) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 15004-I) | |
Enumeration Date | 2019-05-16 |
Last Update Date | 2024-06-17 |