NPI | 1215270111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME157471) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036139803) |
Enumeration Date | 2013-03-29 |
Last Update Date | 2022-10-28 |