NPI | 1376063735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0024124) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT214501) |
Enumeration Date | 2017-06-26 |
Last Update Date | 2021-05-14 |