NPI | 1184750796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-32359) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2005019460) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2024-09-06 |