NPI | 1235485426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND 13725) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL12367) |
Enumeration Date | 2012-07-25 |
Last Update Date | 2024-02-02 |