NPI | 1083861181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0075608) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI MD13627) |
Enumeration Date | 2008-08-20 |
Last Update Date | 2022-01-24 |