NPI | 1932376472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 81670) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD434991) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-05-14 |
Last Update Date | 2019-03-18 |