NPI | 1316006844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0059292) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD 59292) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2024-12-31 |