NPI | 1154941300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 70566) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP61614006) |
Enumeration Date | 2020-04-17 |
Last Update Date | 2024-10-11 |