NPI | 1154948735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 71310) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE TEP8920) |
Enumeration Date | 2020-06-30 |
Last Update Date | 2025-02-24 |