NPI | 1275911885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME167434) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 31569) |
Enumeration Date | 2015-05-14 |
Last Update Date | 2025-02-17 |