NPI | 1386213023 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2024-01938) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT224084) |
Enumeration Date | 2021-06-17 |
Last Update Date | 2024-08-09 |