NPI | 1245793058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 3071849) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10066945) |
Enumeration Date | 2019-04-09 |
Last Update Date | 2025-05-15 |