NPI | 1205331956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61071698) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2021-0453) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2024-05-24 |