NPI | 1326724600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR 10002010) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID F06230879) |
Enumeration Date | 2023-06-22 |
Last Update Date | 2023-08-22 |