NPI | 1841543832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A118771) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A118771) |
Enumeration Date | 2012-10-16 |
Last Update Date | 2014-05-21 |