NPI | 1184287575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS022369) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT019623) |
Enumeration Date | 2019-04-21 |
Last Update Date | 2022-09-16 |