NPI | 1033591789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.161926) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02005302A) |
207Q00000X Family Medicine (Licence: MI 5101021889) | |
207Q00000X Family Medicine (Licence: KY 05214) | |
207Q00000X Family Medicine (Licence: TN 4666) | |
207Q00000X Family Medicine (Licence: MO 2023040087) | |
Enumeration Date | 2015-06-18 |
Last Update Date | 2023-11-07 |