NPI | 1316142748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 250181) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT190821) |
207Q00000X Family Medicine (Licence: PA MD439713) | |
Enumeration Date | 2007-06-16 |
Last Update Date | 2021-01-28 |