NPI | 1154571313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO1207) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL L.2981) |
207Q00000X Family Medicine (Licence: AL MD.30572) | |
Enumeration Date | 2008-09-24 |
Last Update Date | 2020-09-22 |