NPI | 1184784787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101044897) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0044744) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2021-05-27 |