NPI | 1245526466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 85566) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME118350) |
Enumeration Date | 2011-06-27 |
Last Update Date | 2024-10-18 |