NPI | 1134395817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102202292) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H0072715) |
Enumeration Date | 2008-05-02 |
Last Update Date | 2021-06-08 |