NPI | 1326301490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2016-20605) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ R73218) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2025-05-01 |