NPI | 1033417522 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 81721) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MI 51010119542) |
Enumeration Date | 2011-03-07 |
Last Update Date | 2021-03-16 |