NPI | 1952926347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301508539) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4351046493) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351046493) | |
Enumeration Date | 2020-06-11 |
Last Update Date | 2023-05-01 |