NPI | 1225019326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 35452) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 35452) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2024-09-07 |