NPI | 1144841115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2023-1124) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R77947) |
Enumeration Date | 2020-05-01 |
Last Update Date | 2023-09-28 |