NPI | 1285809350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 96642) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD440901) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2023-12-14 |