NPI | 1306406459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34016078) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5151013953) |
207Q00000X Family Medicine (Licence: MI 5101026396) | |
Enumeration Date | 2019-06-19 |
Last Update Date | 2022-10-21 |