NPI | 1336409986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 37899) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 6646) |
Enumeration Date | 2012-05-16 |
Last Update Date | 2020-11-17 |