NPI | 1881252898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101270647) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: VA 0101270647) |
207Q00000X Family Medicine (Licence: VA 0101270647) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-04 |
Last Update Date | 2024-08-08 |