NPI | 1164676342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 286464) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D95826) |
207Q00000X Family Medicine (Licence: IL 036141790) | |
207Q00000X Family Medicine (Licence: CA 145168) | |
207Q00000X Family Medicine (Licence: NJ 25MA08504500) | |
Enumeration Date | 2008-11-14 |
Last Update Date | 2024-04-03 |