NPI | 1134501471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D87115) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101267165) |
Enumeration Date | 2015-06-23 |
Last Update Date | 2022-05-25 |