NPI | 1215081849 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 17463) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD-9597) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2021-02-17 |