NPI | 1003435728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 76333) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 8426) |
Enumeration Date | 2020-04-13 |
Last Update Date | 2023-05-10 |