NPI | 1093196008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-48114) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 30519) |
Enumeration Date | 2015-06-16 |
Last Update Date | 2025-07-22 |