NPI | 1245258516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D55315) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0005439) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2024-03-05 |