NPI | 1053833806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 21748) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME TP17052) |
Enumeration Date | 2017-07-13 |
Last Update Date | 2021-08-16 |