NPI | 1073650024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0065228) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301084216) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2022-02-04 |