NPI | 1093945446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-214453) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60658818) |
207Q00000X Family Medicine (Licence: WI 57610) | |
Enumeration Date | 2009-07-20 |
Last Update Date | 2022-07-27 |