NPI | 1285780809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-11824) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 46702) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2022-05-31 |