NPI | 1902285141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R9205) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD465771) |
207Q00000X Family Medicine (Licence: WA MD61366894) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-20 |
Last Update Date | 2022-10-24 |