NPI | 1053406488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-7614) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M7614) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2022-07-21 |