NPI | 1235172842 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM A-2282-19) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 3986) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2019-10-31 |