NPI | 1386059426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 7340) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 29964) |
Enumeration Date | 2014-06-27 |
Last Update Date | 2023-04-04 |