NPI | 1073953964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61486368) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 02004525A) |
207Q00000X Family Medicine (Licence: HI DOS2187) | |
Enumeration Date | 2013-06-25 |
Last Update Date | 2024-02-20 |