NPI | 1932363777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.122797) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD154264) |
207Q00000X Family Medicine (Licence: WA MD603229220) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OR LL17990) | |
Enumeration Date | 2008-07-10 |
Last Update Date | 2022-11-07 |