NPI | 1215258637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60450928) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125058232) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2020-12-02 |