NPI | 1881188217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61180970) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125-073178) |
Enumeration Date | 2018-06-19 |
Last Update Date | 2024-02-12 |