NPI | 1104811470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 15497) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0049556) |
Enumeration Date | 2005-09-13 |
Last Update Date | 2023-10-11 |