NPI | 1295355279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 73723) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-1919) |
Enumeration Date | 2020-04-20 |
Last Update Date | 2023-08-23 |