NPI | 1366857369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO214286) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 69873) |
207Q00000X Family Medicine (Licence: AK 8309) | |
Enumeration Date | 2014-06-27 |
Last Update Date | 2023-03-17 |