NPI | 1295937027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C7-0003791) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS015280) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2021-03-25 |