NPI | 1265672281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-1069) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60222868) |
Enumeration Date | 2009-03-03 |
Last Update Date | 2020-05-12 |