NPI | 1386175925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 52883) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101283797) |
Enumeration Date | 2017-03-24 |
Last Update Date | 2024-11-04 |