NPI | 1306887286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 46849) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME MD19725) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2023-02-20 |