NPI | 1942821186 |
---|---|
Former Name | CARA FORSYTHE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0069493) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-28 |
Last Update Date | 2023-10-20 |