NPI | 1972199925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2024-00192) |
Enumeration Date | 2020-12-14 |
Last Update Date | 2024-06-25 |