NPI | 1134481377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 83752) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 236606) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2023-05-18 |