NPI | 1982109468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S3297) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 009105) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2022-01-04 |