NPI | 1194054197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301514141) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 113965) |
Enumeration Date | 2009-12-22 |
Last Update Date | 2025-08-06 |