NPI | 1356579304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P1486) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 34152) |
207Q00000X Family Medicine (Licence: LA 311025) | |
207Q00000X Family Medicine (Licence: AR E-11861) | |
207Q00000X Family Medicine (Licence: MO 2019000473) | |
207Q00000X Family Medicine (Licence: MA 277453) | |
Enumeration Date | 2009-06-29 |
Last Update Date | 2019-10-22 |