NPI | 1053368043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS8053) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL DO.2613) |
207Q00000X Family Medicine (Licence: KY 04090) | |
Enumeration Date | 2006-05-27 |
Last Update Date | 2024-11-04 |