NPI | 1376514836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 17599) |
Additional Taxonomies | 208D00000X General Practice (Licence: SC 17599) |
Enumeration Date | 2006-01-31 |
Last Update Date | 2022-10-17 |