NPI | 1346986270 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-1892) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRO-2147) |
Enumeration Date | 2022-05-12 |
Last Update Date | 2025-07-09 |