NPI | 1326425430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD H0098109) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C2-0012978) |
Enumeration Date | 2015-04-28 |
Last Update Date | 2023-07-12 |