NPI | 1336378819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 21215) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 68571) |
Enumeration Date | 2009-07-06 |
Last Update Date | 2020-02-13 |