NPI | 1366468639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD153881) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD153861) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2021-11-18 |