NPI | 1992096705 |
---|---|
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: FL ME140241) |
Enumeration Date | 2011-04-27 |
Last Update Date | 2019-05-02 |