NPI | 1124297965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 108777) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 25668) |
Enumeration Date | 2008-02-26 |
Last Update Date | 2023-03-16 |