NPI | 1215000427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101229818) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0056434) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2022-02-04 |