NPI | 1306370390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME151840) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 32997) |
Enumeration Date | 2017-04-17 |
Last Update Date | 2023-06-25 |