NPI | 1376668210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 38317) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 37338) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2023-04-05 |