NPI | 1093235418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 45965) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL40896) |
207Q00000X Family Medicine (Licence: SC 40896) | |
Enumeration Date | 2017-06-27 |
Last Update Date | 2023-11-16 |