NPI | 1275285124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2021047578) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021047578) |
Enumeration Date | 2022-01-21 |
Last Update Date | 2022-01-21 |