NPI | 1093341067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 2901) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2022007292) |
Enumeration Date | 2020-03-20 |
Last Update Date | 2024-07-23 |