NPI | 1063597508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9900471) |
Additional Taxonomies | 208D00000X General Practice (Licence: NC 9900471) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2024-07-15 |