NPI | 1316205990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0011537) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0062420) |
Enumeration Date | 2012-05-02 |
Last Update Date | 2024-04-01 |