NPI | 1023493160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 309887) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 309887) |
Enumeration Date | 2015-07-29 |
Last Update Date | 2023-09-08 |