NPI | 1164872032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 0062995) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR PG178689) |
Enumeration Date | 2016-06-21 |
Last Update Date | 2019-10-17 |