NPI | 1205495736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA MD-48216) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-11511) |
Enumeration Date | 2019-06-09 |
Last Update Date | 2022-11-07 |