NPI | 1902099716 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2013-00205) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME100735) |
207Q00000X Family Medicine (Licence: HI MD15845) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN9975) | |
Enumeration Date | 2007-08-24 |
Last Update Date | 2014-08-08 |