NPI | 1033184957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CO 39005) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0039005) |
207Q00000X Family Medicine (Licence: CO 39005) | |
Enumeration Date | 2006-02-22 |
Last Update Date | 2025-04-25 |