NPI | 1265753669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 5050) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 04472) |
Enumeration Date | 2010-06-20 |
Last Update Date | 2025-09-03 |