NPI | 1295855583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME104803) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01059196A) |
207Q00000X Family Medicine (Licence: KY 38030) | |
Enumeration Date | 2007-03-30 |
Last Update Date | 2024-09-27 |