NPI | 1225444995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OT015614) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME DO2713) |
Enumeration Date | 2014-07-02 |
Last Update Date | 2022-07-21 |