NPI | 1255835898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-13854) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 0000003722) |
Enumeration Date | 2018-03-20 |
Last Update Date | 2024-11-15 |