NPI | 1053318089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A74628) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD038413) |
207Q00000X Family Medicine (Licence: MD D63315) | |
207Q00000X Family Medicine (Licence: VA 0101246622) | |
Enumeration Date | 2005-07-05 |
Last Update Date | 2023-05-21 |