NPI | 1124311071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0053698) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD173401) |
Enumeration Date | 2011-05-25 |
Last Update Date | 2023-11-30 |